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25C-051 (14) CALLtb 4/(9/. L I ;.2•(ti /4' File #21 APPLICANT/CONTACT PERSON:GINTIS VALERIE &WILLIAM SWEET 59 LINCOLN AVE NORTHAMPTON, MA 01060 PROPERTY LOCATION 59 LINCOLN AVE MAP:LOT 25C-051-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $30.00 Type of Construction: ZPA -CONVERT GARAGE INTO LIVING SPACE New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved X Additional permits required(see below) ``,, PLANNING BOARD PERMIT REQUIRED UNDER:§ Unn I1 TA'aLfi, Off= U3r,5 Intermediate Project: )( Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit/With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § S -c — 1.3 ((s) Finding Special Permit Variance* ©( S)(9-),I,IVTUk+rs Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay MAL 4 Tic WAVta'3 Siwature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Departn”nt of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office o I Planning&Development for more information. File No. J evai06- 4s ZONING PERMIT APPLICATION (§1 o.2) Please type or print all information and return this form to the Building Inspector's Office with the $30 filing fee (check or money order)payable to the 1 /r City of Northampton APR - 20 23 1. Name of Applicant: \OIL('IL C>Lr k S L( \cry Addresses C1 Lt c_tn.__!vt. , Telephone:LI! S W /'49 ''; 2. Owner of PropertyVQ, t! tn.'}'14' / Wi e,- Address LLr\CDlrl Akk.. n Telephoneg13 a►q q -no s— 3. Status of Applicant: Owner X___ Contract Purchaser Lessee Other (explain) 1 4. Job Location: LS- L1kjCALN Av'�� Parcel Id: Zoning Map/# __- Parcel#_----___-- District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property _C.__ �S Iora Q� 6. Description of Proposed se/Work/Project/ ccupat'on: (Use additional sheets if ecessary): UJQ (spat_ ._ `t , avo.r blew _+0 Gs t, cwhP Uto li2 - s I'NciL s be ate& -tom ins►dru 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? £dc 2022('.J NO DON'T KNOW _ YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds% NO X DON'T KNOW YES IF YES: enter Book Page and/or Document # 9 Does the site contain a brook, body of water or wetlands? NO k DON'T KNOW YES IF YES, has a permit been or need to he obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: (Form Continues On Other Side) W:\Documents\FORMS\otiginal\Bui!ding-Inspector`Zoning-Permit-.Application-passive doc 8/4/2004 '113.1 - 10. Do any signs exist on the property? YES NO X IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO X. IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO X(, IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED B;Y ZONING Lot Size • 2.9 cure. 11 acre_ Frontage 140 `t"b Li c€Qt- Setbacks Front 4CO 4 t'212:1- t pot fev}- Side L: C+ R: Z„ Q} L: R: L: R: Rear leo� �. l� +Building Height 1r , (1_ I 1 P _ - Building Square Footage u vt 22- 162�-- Open Space: (lot area minus building & paved 6a V arm parking #of Parking Spaces #of Loading Docks Fill: (volume & location) 13. Certification. I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date:. 4. 1-3 Applicant's Signature NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 nct- t-O b .G.v c., C in 66s7 _, This r, is - 1 r‘Ls1.4,a lax " -I ' ac, --(Cm 1 e til 1(1 16 Curten4A71 t4t- Qn 6POCe_, iLl' ecd-hroop 3pace, ur\_Pir\ts)vet -k T i -i-o Luic \tad , •'' Inet- +0 bier- la 421_, iiii6,. ..c.c.t. oTef--60,6 irra 6r,o,,ow,14-) car ‘ r 6 - • i ve. co(Ai -41 Urn cer 3 \ cAid ... ,,,,,_,.......- -,1- , , . ..,. ‘...' .....,- w. • _..... I .... .,..... ,_,..„.,..„. ( .............. .. . brelA